Starting January 2018 through January 2019 CCHN and the Center of Nursing Excellence will host Cohort III of the Building Skills for Effective Teams (BSET) training. BSET, a highly-rated training program designed specifically for Community Health Centers (CHCs), focuses on expanding participants’ leadership expertise, interpersonal knowledge, and emotional intelligence needed to confidently function within their CHC’s integrated care teams and quality improvement efforts.
Over the course of a 12-month period, the program will include four 3 day workshops with ongoing team coaching between sessions, and the implementation of a Uniform Data System (UDS) quality improvement capstone project.
Workshops will focus on providing and practicing in real-time an expanded set of skills and abilities needed to develop, lead, and be part of effective inter-professional and integrated care teams.
CHC teams will learn about team building elements through the inter-professional collaborative practice analysis; implementation of the evidence-based Team Excellence model; development of a team capstone focused on a UDS quality measure; and exploration of ongoing leadership, communication, emotional intelligence, DiSC work style inventory, strengths assessment, and conflict resolution skills reinforcement.
This training is intended to support CHCs’ quality initiative projects such as: team based care; PCMH (patient centered medical home); SIM (State Innovation Model), Evidence Now Southwest; and CHC integrated care implementation, transformation, and advancement.
Please see below for details on the training program, information on how to register, and who to contact with questions.
All members of the team must commit to attend all scheduled dates.
Session 1 of 4: January 18-20, 2018
Session 2 of 4: March 21-23, 2018
Session 3 of 4: May 9-11, 2018
Session 4 of 4: June 20-22, 2018
Final Capstone Presentation: January 18, 2019
Training Hours
Day 1: 12:30pm – 4:30pm
Day 2: 7:30am – 4:30pm
Day 3 First Session: 7:30am – 4:30pm
Day 3 Second thru Fourth Sessions: 7:30am – 1:00pm
Rocky Vista University College of Osteopathic Medicine
8401 South Chambers Road
Parker, CO 80134
Please note Session I day three will be held at Goddard Middle School in Littleton to accommodate the high ropes course.
Cost: $475.00 per person Now $237 per person if you sign up before the end of the year! (Includes meals, drinks, and snacks for 13 days of training.)
Registration closes January 2, 2018.
Teams must include at least two providers from the following professions: primary care physicians, physician assistants, nurse practitioners, dentists, psychiatrists, psychologists, LCSWs, marriage and family therapists, and other licensed behavioral health providers.*
Teams can range in size from five to seven CHC staff members.
Remaining team members can be any other member of the team such as registered nurses, case managers, behavioral health staff, medical assistants, dental assistants, and other frontline clinical and nonclinical support staff who work with primary care providers.
* CHCs interested in this training opportunity but unable to meet the two provider requirement should email Kim Moyer at kmoyer@cchn.org.
Over the course of the year together, teams will complete a UDS quality metric-focused capstone project and complete a final presentation.
After sessions two, three, and four, teams will huddle weekly for team-building and capstone work.
The year-end capstone project will help to provide additional focus to the learning process and culmination of skills.
Team coaching throughout the year will be provided from the Center for Nursing Excellence.
Teams will meet with coaches for up to three 1-hour coaching sessions.
Team coaching sessions focus on new skill integration, creating a solution-focus approach to completing capstone, and team-building strategies.
The curriculum of the course integrates many team-building principles based on extensive research by Dr. Carl Larson related to “When Teams Work Best.”
Each session builds on the previous with the intention of providing participants with an opportunity to effectively integrate skills and apply concepts with real-time team problem-solving within their CHC. A brief description of each of the four workshops is described below.
Session 1 of 4
The purpose for this session is on setting the stage for developing inter-professional collaborative practice teams through understanding when teams work best and getting to know self and team-mates. Content will focus on:
• Defining team and essentials for team effectiveness.
• Identifying challenges facing inter-professional and integrated care teams in CHCs.
• Applying emotional intelligence and personality behavioral workstyles to inter-professional and integrated care teams to appreciate differences and respect diversity (Debrief the EQ-I & DiSC).
• Introduction to communication and handling conflict in inter-professional and integrated care teams.
• Overview Team Reflective Practice: Establishing Huddles.
High Ropes Course (4 hour) for trust building and integration of feedback and communication.
Session 2 of 4
The purpose of this session is to support each team to examine the results of their Team Excellence assessment in order to plan a Team Capstone and begin integrating the Team Excellence principles. Content will focus on:
• Team exercise for engagement and integration of emotional intelligence.
• The Power of Declaration and understanding strategies for overcoming barriers to success and strengthening team accountability.
• Concepts of intentional action and change for enhancing team performance.
• Introduction to Team Coaching and Team Coaches.
• Debrief the findings of the Team Excellence Assessments in order to identify team priorities for action related to the eight dimensions of a team.
• Skill-building in the eight dimensions of a team through a 3-hour Low Ropes.
• Overview of CCHN’s Patient Engagement Toolkit and Resources related to social determinants of health.
• Integration of the action items from the eight dimensions of a team into a capstone plan focused on UDS measures and social determinants.
• Practicing skills for integrating team concepts into larger clinic teams.
Session 3 of 4
Focus on the required non-technical skills for working effectively in teams.
• Team sharing related to capstone success and challenges to identify opportunities for networking for opportunities to share resources across clinics.
• Creating team civility with mutual respect and accountability.
• Effective communication and conflict resolution with cognitive rehearsal scripts.
• Establishing healthy individual and team boundaries.
• Thriving in times of change: enhancing engagement and decreasing resistance.
• Asking powerful questions to create a culture of inquiry within teams.
• Strategies for creating an engaged and healthy workplace.
Session 4 of 4
This session will pull all the concepts of when inter-professional and integrated care teams work best together for sustainable and long-lasting change for quality improvement. Content will focus on:
• Examining the impact of competition versus collaboration on team effectiveness.
• Identification of strategies to enhance team perseverance through change.
• Identify strategies for handling mistakes and learning opportunities within teams.
• Application of core value to appreciation of team members as team-building.
• Dialogue strategies for implementing inter-professional and integrated care delegation concepts within teams.
• Identification of strategies for inter-professional and integrated care quality improvement.
• Develop a team resiliency plan.
• Apply all skills through a final team challenge exercise.
• Creating an experimental mindset for perseverance.
Description: The Challenge Course involves a variety of activities that often include warm-ups, games, group initiative problems, low and high challenge course elements and other rigorous physical adventure activities. The level of participation in all programs and activities is at all times completely up to the individual. Yet, as in any vigorous and challenging physical activity, there are risks of injury and/or emotional discomfort that must be considered by participants. All participants will be given a disclosure statement and release of liability to sign.
The disclosure states: “To insure that all participants have control over their own personal safety, we have adopted the philosophy of “Challenge By Choice”. At all times, participants in the Challenge Course activities are completely in control of their own level of participation. During our programs you need to do or attempt to do only those things with which you are relatively comfortable. Each participant must listen carefully to all instructions and briefings, set his or her own goals free of the influence of the group’s goals, and make a decision as to his or her level of participation and inform others of that choice. No one will force you to do anything. The choice is clearly your own.”
Low ropes activities are guided activities completed in an indoor setting with a team. There is only one activity where ropes are used with low physical challenge. This activity includes some blindfolded team members and some un-blindfolded members. The goal is to effectively communicate and work together while navigating a room with some obstruction to complete a task. Other activities are similar but do not include ropes and rather use thought process and strategies to efficiently complete tasks as a team.
The following are guidelines we use with the participants for the UDS Capstone project:
For each goal, we will ask the team to be clear about measuring success. What requires baseline data before you begin? How will you measure outcomes in one year?
For the project, the grant requires the following data collections and measurements:
At least two UDS quality Measures: with data at baseline, at end of year and 1 year post capstone.
Patient Satisfaction: data will be submitted for 1 year prior to start of capstone, at baseline (start of capstone), at project end, and one year following implementation. Team retention data at baseline, mid-project and one year follow-up. Team member Team Excellence Scores.
Feedback related to the program, coaching and workshops.
It is one capstone project per team.
With past teams, the times have varied. It really is dependent on UDS measures and Capstones. It also depends on what is available as far as resources for data collection to get baseline and end of year data. Capstones could also be more work related as it could relate to policy and/or procedure change in the CHC.
The Team Coach will meet with the entire team from the first training session on a regular basis through the final capstone/celebration day. Coaches will help guide and facilitate ongoing team development; complete the team capstone project; and support the completion of the required project data collection. The frequency and timing of the coaching sessions will be scheduled by the team and coaches based on the team’s action plan.
The coaching sessions will be held either by teleconference, webinar, or face-to-face meeting based on the convenience of the group and/or geographic proximity. The minimum to meet with team coach in once a month however as the teams get more settled in the program they could choose to meet more or less with their coach.
No, not at this time.
It is important that team members commit to attend all scheduled dates. Unfortunately you would need to exclude those who cannot commit to attend all scheduled dates. However, exceptions may be made on a case-by-case basis depending on extenuating circumstances.